Nelson Hernando Duran, PA
Individual provider Active NPI Medical Physician Assistant · Parrish, FL
NPI 1588092571 · NPPES record last updated Oct 24, 2019
Key facts
- NPI
- 1588092571
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA 9107523 (FL)
- Practice address
- 12271 US Highway 301 N
Parrish, FL 34219-8410 - Phone
- (941) 776-4000
- Fax
- (941) 776-4013
- NPI assigned
- Oct 29, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Southern Nevada Health District
Practice addresses (Care Compare)
280 S Decatur Blvd
Las Vegas, NV 89107-2936
Phone (702) 759-1000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140814001248 | FL | Practitioner - Physician Assistant | 1456578491 | Reassigns benefits to 1 organization |
| I20190306001304 | NV | Practitioner - Physician Assistant | 1456578491 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9107523 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCR Health, Inc. | Current |
Accepting new patients | |
| MCR Health, Inc. | Current |
Accepting new patients |
Locations
700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
Interoperability endpoints
- nelson.duran@snhd.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 9107523 | FL | Yes |
| Medical Physician Assistant | 363AM0700X | PA1898 | NV |
Addresses
Primary practice location
12271 US Highway 301 N
Parrish, FL 34219-8410
Mailing address
280 S Decatur Blvd
Las Vegas, NV 89107-2936
Phone (702) 759-1238
Other providers in Parrish, FL
- Ludmilla Dieujuste
- Angelo Sebastian Domingo
- Melissa Beth Dressler
- Cassie Duffy
- Dwayne Dunkerson
- Nickolas A Dwyer
- Jessica Eastman
- Ethan Frederick Effinger
- Ellenton Discount Pharmacy LLC
- Ellenton Discount Pharmacy LLC
All providers in Parrish, FL · Medical Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.